Audience
Organizations and technology providers seeking a solution to enhance patient care, streamline operations, and improve financial performance
About Optum AI Marketplace
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions.
Other Popular Alternatives & Related Software
Change Healthcare
Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication.
Learn more about Change Healthcare
Canvas Medical
Care delivery companies, from 4-person telehealth startups to 40 million-member health plans, leverage Canvas software and APIs to launch new patient experiences and business models faster, and at a fraction of the cost of traditional solutions. That's the Canvas advantage. Innovative teams need an EMR and payments solution built for both clinicians and software developers. We bring together everything it takes to integrate new digital patient experiences, care models, and payment arrangements. The Canvas platform enables orchestrating care services and payments for companies delivering direct-to-consumer virtual care, at-risk complex care, and everything in between. The Canvas platform enables established medical groups to get ahead of industry transformation, as well as novel payer-provider collaborations. Canvas is a headless EMR with built-in payments and insurance reimbursements. Build your new patient experiences faster on Canvas to keep your care team at the top of their game.
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Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS.
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InvisaClaim
InvisaClaim AI Revenue Cycle Management that prevents denials and wins the ones that slip through.
The most advanced all-in-one platform for billing companies and RCM teams. Before claims go out, Pre-Submission Check and Pre-Check AI scrub them against NCCI edits, coding conflicts, and payer rules stopping denials at the source. When one slips through, upload or live-feed a denial letter or 835 ERA and AI extracts patient data, CARC/RARC, CPT/ICD-10, amounts, and deadlines then drafts a payer-specific appeal in 60 seconds across 30+ payers.
Modules: Pre-Submission Check, Denial Workbench, NSA/IDR (eligibility, QPA, GFE & IDR letters), Prior Auth, A/R aging, NPI verification, deadline alerts, full audit trail.
Connects to your clearinghouse and EHR: Change Healthcare/Optum, Waystar, Availity, Athenahealth, plus a FHIR R4 layer for EPIC/Cerner.
HIPAA Compliant · SOC 2 · 256 Encryption
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Company Information
Optum
United States
marketplace.optum.com
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Product Details
Platforms Supported
Cloud
Training
Documentation
Support
Online
Optum AI Marketplace Frequently Asked Questions
Q: What kinds of users and organization types does Optum AI Marketplace work with?
Optum AI Marketplace works with these users and organization types: Mid Size Business, Small Business, Enterprise, Freelance, Nonprofit, Government, and Startup.
Q: What languages does Optum AI Marketplace support in their product?
Optum AI Marketplace supports these languages: English.
Q: What kind of support options does Optum AI Marketplace offer?
Optum AI Marketplace offers support via online.
Q: What other applications or services does Optum AI Marketplace integrate with?
Optum AI Marketplace integrates with: Google Cloud Healthcare API, InvisaClaim, Microsoft 365, and ServiceNow.
Q: Does Optum AI Marketplace have an API?
Yes, Optum AI Marketplace has an API.
Q: What type of training does Optum AI Marketplace provide?
Optum AI Marketplace provides training in the form of documentation.
